Doctor Q&A

Hello, I am planning to do Motiva preserve surgery. My current size is 34 B, BWD standard 13.5, nipple distance 19 cm, 172 cm and 60 kg. I consulted with few PS but all of them told me I can choose which projection I prefer. Since my BWD is quite big (I guess?) which of these would give me bigger upper pole and size up 1-2 cups?

I’m 40 and my surgeon strongly recommended (required?) I get a mammogram before my breast augmentation/rhinoplasty procedure in three weeks. At my mammogram appointment, the nurse was kind enough to show me my scans and while there was nothing big and scary, she did say that because I have dense breast tissue (50+%) and I’ve never had a mammogram before, they would likely require/recommend diagnostic imaging to both be certain there is nothing there and establish a good baseline. First question: how:likely is it to delay my surgery if they come back and say they want to do diagnostic imaging because of my dense breast tissue? I have zero family history of breast cancer, I have zero pain/lumps/redness, etc. to indicate any sort of issue, and my mom has dense breast tissue with no issues. I haven’t spoken to my doctor yet because I’m not certain how much discretion he has or is willing to exercise if the radiologist is just covering themselves from a liability perspective. Second question: if the breast augmentation is cancelled, could this potentially also delay my rhinoplasty? I work full time and I will be in law school at night starting at the end of summer, so rescheduling isn’t an option - there just won’t be time within the next 3-4 years. Plus, I’m 40 and don’t want to wait any longer for something I’ve wanted for so long. Thank you all so much! Any input is greatly appreciated!!

Middle eastern nose, was looking to straighten the bridge , while still keeping a masculine high bridge, fixing the top and have a defined tip while not widening the nose or lengthening the philitrum

I listed the procedure under rhinoplasty because I’ve been looking majorly at that type of surgery first or maybe chin reduction. I don’t deel attractive and want to know what procedure will make me attractive. Im open to all suggestions too. I will say I’m 260 pounds currently and at 6’4 i get by with that large weight due to my height so most peoplr wouldn’t say I’m overweight but do know my resuts could be dramatic if i went down to a normal weight. Thank you!

Im 18 years old, and no matter what i do i cant achieve any butt growth nor weight loss i plan on doing a lipo360/a bbl, Im 5,8 and i weight 170, I have minor scoliosis too so i want to make sure the shape matches my body, and i dont want anything too big i want something that looks natural for my body type plus me being tall, im also a brownskin female :)

Two years later and I ve been experience pain in my hips and certain parts of my Butt. At first is was on one side and I also noticed that a huge dip on my hip/side butt had appeared last year by the time of my 1 year post op appointment. I've expressed that concern to the surgeon who at that time, advised me to get hip dip filler to correct the dip. I never got he filler because Im nervous about it migrating. However fast forward to now and the other side of my hop is also aching. I don't know what is going on. My surgeon also has stated he doesn't know. if anyone has any information about the please advise what is causing it to hurt after two years. I feel it more when I sit or lay on my butt/ sides.

Hello, I am currently 167 pounds and 5’8 and 31. I have never had a butt. I am trying to get rid of my stubborn fat so I want to schedule a Lipo 360 and a BBL. However, I have a wide rib cage and not a lot of hips. Is it possible for me to have an hourglass figure.?

Wondering if it’s possible to have a partial hysterectomy and abdominoplasty at the same day?

I am struggling to explain what I am wanting during my consultations. I am currently a DD and would prefer to be a C cup. However, I would also like fullness in the upper breast and don’t want to have to rely on a bra for cleavage. So, I want to be approximately a C—but I don’t want the deflated upper-pole appearance I see in many reductions. I want noticeable upper-pole fullness and projection, while still having a natural breast position and contour. I don’t want them sitting excessively high or looking large or obviously implanted. Is this even a possibility? Many consults have told me that a lift with implants defeats the purpose and I 100% understand that too. I am 49 yo, healthy female. Please help!

How effective is this procedure please

I want a natural look that is propotional for me. I am 158cm tall and weight 47kg. My base width is 12,75cm. I have minimal breast tissue after 2 kids. My bra size is 32A. I don’t want them too big or too small.

I have teardrop silicone breast implants. Around June 2026, I noticed that my left breast had become significantly firmerand seemed rounder and more projected than it had previously been. I was concerned that I might be developing capsular contracture. What has confused me is that a few weeks later, my right breast seemed to do essentially the same thing, and the change in the right breast felt very sudden, almost overnight. I’ve attached comparison photos from July 26 and September 15. Both sets of photos were taken after I had already noticed the initial change, so the July photos are not true “before” photos, I do have an appointment for breast imaging, I'm just curious what else it could be? As it doesn't seem like it fits the definition of CC.

I am getting a primary breast augmentation with silicone implants in two weeks. I recently had my pre-op appointment. Based on my goals and having tried on various sizers, my surgeon and I selected Sientra high profile 385cc round implants, dual plane.My rationale was that I loved the look of the 355cc sizers, but my surgeon advised that the healed implants would look a bit smaller and less projected. So, with that in mind, we felt it better to go a smidge bigger to account for the compression that placing it under the muscle will add, hence landing at 385cc.My question lies around my breast width diameter. My BWD was measured both physically and digitally at 10.5cm, whereas this implant has a base diameter of 12.5cm. Will this automatically spell doom for me?As we discussed at our consult and pre-op, I am hoping for noticeably fuller breasts with nice softness, more lower pole fullness than upper pole, nice cleavage, and a natural profile/slope.Does all of this sound reasonable? Should I be going with a smaller high profile implant to be closer to my BWD, or is it true that there is some wiggle room with respect to BWD and implant diameter, and that surgical skill plays a big part? I guess my only hesitancy with going forward is that the implants would be under too much tension and feel less soft than I'd like.I am 5'2" and 122 lbs, currently a 32B hoping to gain at least 2 cup sizes. My measurements right now are 33-26-38. I am petite in height but fairly curvy.

My weight of 112 lbs has always been stable. I have thick, oily skin without fine lines/wrinkles. I have always had fat pads in a location which is too low on my face and deep nasolabials. I just tried Restylane to the pyriform fossa, no improvement. My goals are to restore a smooth transition from the cheek to the lower lids, to reduce the heaviness of the cheek tissue, and in general to lift a descended central facial structure, from the lower eyes to the perioral area. Thanks in advance for recommendations.

37, female. I have mild facial asymmetry from a jaw growth discrepancy (right side longer). In my early 30s I had dermal filler to camouflage it, which worked fwor a few years, but multiple rounds with different practitioners without dissolving left me overfilled and distorted. The extra weight and volume on the right was pulling that side down and making the asymmetry more noticeable. About 6 weeks ago I had most of it dissolved, unguided and without ultrasound. I think some remains, and I'm waiting for an ultrasound-guided appointment to dissolve the rest. I'm now left with deep tear trough/malar indentations (present since childhood, now much worse), mid cheek volume loss, and lower cheek hollowing and sagging. The sagging is worse on the right (the longer jaw side), especially around the mouth: a deeper right marionette fold and the right corner of my mouth drooping more. When I lift my right upper cheek slightly, the mouth droop and marionette fold disappear, so I think mid cheek descent is the main cause. I don't know whether the overfilling permanently stretched the tissue and made this side droop more after dissolving. A surgeon has recommended a deep plane facelift, with a small amount of SMAS fat grafted into the tear trough/malar indentation. My question is: Would I be suitable for any less invasive surgical options, such as other facelift techniques or fat grafting to more areas?

51 5”6 95lb

In January 2026, I had a transconjunctival lower blepharoplasty. I adhered to post-op procedures well, and to this day still sleep slightly elevated to reduce inflammation. The results gave improvement, but there are still skin flaps rather than the taut under-eye look I expected. The surgeon has been gracious and said he agrees the results are not what we wanted. He has suggested, as a next step, an Eco2+ laser treatment under the eyes, which he would do for free, to see if that will tighten up the skin under my eyes. Is that a meaningful next step? Is there going to be some other surgical intervention needed? I'm a 46 y/o male.

Wondering if a lower bleph would correct this problem? I have a slight bulge the indent right underneath it and it really bugs me and ages me and makes me look always tired!

Hi! I'm 24 and I've disliked my under eyes pretty much my whole life. They have looked like this since I was a child, and I have already undergone a fat transfer to that area (a surgeons recommendation) but found it did absolutely nothing to achieve what I was looking for. I would like to improve the line that comes down to almost the centre of my face. I am aware that it is difficult the closer you get to the eye area, so I am focussing more on that particular line. I will attach photos of my undereye area without makeup, with makeup, and when I was a child to show what I'm talking about. What would help improve this? Is there a way to improve eye bags that are genetic? Would it be surgical/non-surgical? Is this a hyperpigmentation issue? I use undereye creams and spf Thank you!